Provider Demographics
NPI:1245547686
Name:AIDS NETWORK
Entity type:Organization
Organization Name:AIDS NETWORK
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:
Authorized Official - Last Name:DOTSON
Authorized Official - Suffix:
Authorized Official - Credentials:MHSA
Authorized Official - Phone:608-316-8604
Mailing Address - Street 1:600 WILLIAMSON ST
Mailing Address - Street 2:SUITE H
Mailing Address - City:MADISON
Mailing Address - State:WI
Mailing Address - Zip Code:53703-3588
Mailing Address - Country:US
Mailing Address - Phone:608-252-6540
Mailing Address - Fax:608-252-6559
Practice Address - Street 1:600 WILLIAMSON ST
Practice Address - Street 2:SUITE H
Practice Address - City:MADISON
Practice Address - State:WI
Practice Address - Zip Code:53703-3588
Practice Address - Country:US
Practice Address - Phone:608-252-6540
Practice Address - Fax:608-252-6559
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-09-07
Last Update Date:2010-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty